Table 3 Theory of Planned Behaviour-Based Beliefs - Focus Group Sample

Behavioural

Instrumental

BB1

SSM requires support from HSV staff in order to be effective.

1

7

NO

BB2

Additional/simplified organizational pathways are required in order for SSM to achieve positive outcomes.

5

2

YES

BB3

SSM improves communication channels.

4

3

YES

BB4

SSM improves holistic healthcare provision.

7

1

YES

BB5

SSM improves patient outcomes.

2

5

NO

BB7

SSM reduces healthcare time demands.

2

5

YES

Experiential

BB6

SSM is not possible if staff are not supported and facilitated to use it.

3

4

YES

Subjective Norm

Norms

NB1

SSM is effectively being applied in other areas/regions.

2

3

YES

NB2

SSM is promoted by HSV policy and documentation.

1

6

NO

NB3

Patients may not always understand, or want staff to implement, SSM healthcare.

7

1

YES

NB4

Widespread use of SSM would be required in order for it be effectively adopted.

1

6

NO

NB5

SSM must factor in cultural/ local norms of different HSV settings to be effective.

2

3

YES

NB7

Patients want to be involved and understand their medication regimens.

2

3

YES

Pressure

NB6

Without GP buy-in the implementation of a SSM approach is not possible.

5

2

YES

Perceived Behavioural Control

Self-Efficacy

CB1

SSM requires effective co-produced healthcare.

1

5

NO

CB6

SSM training must be tailored to staff knowledge, skills, experience and needs.

8

3

YES

Controllability

CB2

SSM is limited by HSV policy and capacity.

9

2

YES

CB3

Resource investments are required to increase staff SSM control.

13

1

YES

CB4

SSM requires increased staff engagement to enhance control.

6

4

YES

CB5

IT/communication sharing improvements are required to enhance staff control.

1

5

NO